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Individual

BRANDEE LEIGH WINKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5601
(757) 953-0815
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5601
(757) 953-0815

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0110005629
VA
363AM0700X
Medical Physician Assistant
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110005829
VA
Enumeration date
07/08/2017
Last updated
01/24/2023
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